Active NPI
Kathleen Manship Rollason, MSW, LISW, LCSW,ACSW
- Clinical Social Worker
- Santa Fe, NM
National Provider Identifier
1821443755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6976-C
- Practice address
- 1 Enebro CT
Santa Fe, NM 87508-8836 - Phone
- (505) 699-5668
- NPI assigned
- Apr 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I-05744 | NM | |
| Clinical Social Worker | 1041C0700X | 6976-C | AR | Primary |
| Clinical Social Worker | 1041C0700X | 4100 | LA |
Addresses
Primary practice location
1 Enebro CT
Santa Fe, NM 87508-8836
Mailing address
1 Enebro CT
Santa Fe, NM 87508-8836
Phone (505) 699-5668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4100 | LA | MD | Counselor |
| 6976-C | AR | MD | Clinical Social Worker |
| I-05744 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461801600000",
"number": "1821443755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ENEBRO CT",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875088836",
"telephone_number": "505-699-5668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ENEBRO CT",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875088836",
"telephone_number": "505-699-5668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLASON",
"first_name": "KATHLEEN",
"middle_name": "MANSHIP",
"credential": "MSW, LISW, LCSW,ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-28",
"last_updated": "2016-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I-05744",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "6976-C",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "4100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.